Glossary

What is an oral glucose tolerance test (OGTT)?

The oral glucose tolerance test checks how your body handles a large dose of sugar. You fast overnight, give a blood sample, drink a measured glucose drink, and then give more blood samples over the next two to three hours.

Written by Poshan Labs. Sources are named on the page. Last updated 26 October 2026.

Your OGTT result

For a 75 gram test in non-pregnant adults, MedlinePlus lists these two-hour values:

  • below 140 mg/dL: normal
  • 140 to 199 mg/dL: impaired glucose tolerance (prediabetes)
  • 200 mg/dL or more: diabetes

Pregnancy uses different cut-offs, and ranges may vary slightly by lab.

Oral glucose tolerance test: the oral glucose tolerance test checks how your body handles a large dose of sugar.

What an OGTT tells your doctor

It is more sensitive than a fasting test alone, so it can pick up early trouble with sugar that other tests miss.

Doctors often use it:

  • for women with PCOS
  • during pregnancy, to check for gestational diabetes
  • when other sugar results are borderline

A high two-hour value means your body is struggling to clear sugar from the blood.

On the day of the test

On the day, follow your lab's instructions:

  • fast for at least eight hours
  • sit quietly during the test
  • avoid walking about or smoking, as these can change the result

Over the longer term, the same habits that steady everyday sugar help here too:

  • meals built around dal, vegetables and whole grains
  • fewer sweets and refined flours
  • regular walking
  • enough sleep
  • gradual weight loss if needed

Talk to your doctor before changing any medicine.

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